陈旧性寰枢椎脱位并截瘫的治疗

Treatment of old atlantoaxial dislocation with spinal cord compression

中文关键词:  陈旧性 寰枢椎脱位 截瘫

英文关键词:Old atlantoaxial dislocation,Transoral anterior decompression and reduction,Frac- ture of odontoid process

中文摘要:

  １９８４年，作者对１５具尸体做了寰枢椎平面椎管及椎管内各组织问关系的测量分析，并观察了用２具尸体模拟齿状突骨折、寰枢椎脱位的情况。另外，对５０例正常人（１５～５８岁）的颈椎Ｘ线侧位片进行了测量。在上述基础上，于１９８４年～１９９２年对３４例陈旧性寰枢椎脱位并有脊髓压迫者主要采用了：（１）经日前路减压复位，（２）头颈双向牵引加后路寰枢椎融合术进行治疗，经平均４年的随访，疗效满意。尤其是第一种方法，可达到减压、复位的双重目的，重点对该术式的基本原理、术中预防椎动脉损伤及预防感染等手术相关问题作了讨论。

英文摘要:

  In 1984, structrue of the atlantoaxial canal on fifteen cadavers was measured and simulated dislocation of the atlantoaxis was made on two cadavers. Normal lateral cervical radiograph of 50 cases was also measured. With the above--mentioned bases, 34 case